ANALYSIS OF FUNCTIONAL OUTCOME OF SURGICAL DECOMPRESSION OF CHRONIC RETROCALCANEAL BURSITIS

INTRODUCTION: Haglund deformity is a common cause of posterior heel pain and consists of a constellation of softtissue and osseous abnormalities. The treatment starts with conservative approach and ends with surgical treatment incase conservative treatment fails and the symptoms are bothersome. Different surgical procedures and approacheshave been used for this deformity. In this study we evaluated the clinical and functional outcome of osteotomy of thecalcaneal tuberosity with debridement of the retrocalcaneal bursa and the Achilles tendon using a lateral approach atour instituteMETHODS: This prospective study consists of 15 heels (5 men, 10 women) with mean age of 40 years who were operatedat Vinayaga mission medical college and hospital ,karaikal from June 2019 to May 2020 with posterior heel pain, who didnot respond to conservative treatment and underwent surgical decompression of the retrocalcaneal bursae andexcision of bony spurs. The functional outcome was evaluated by comparing the pre and postoperative AmericanOrthopedic Foot and Ankle Society (AOFAS) scores and VAS score at 6th month and one year follow upRESULTS: All patients were followed up for at least 12 months. AOFAS scores showed significant improvement at 6thmonths & one year follow up . 1 out of 15 operated feet had superficial surgical site infection in the postoperative periodthat responded to antibiotic therapy and regular dressingsCONCLUSION: Open surgical decompression is a safe and effective technique. We conclude lateral approach todebridement and calcaneal tuberosity resection is an effective method with good clinical and functional outcome inpatients with refractory Haglund deformity